Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $17,823.00	Facility		$1,987.50	$1,987.50	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $6,407.46	Professional		$1,987.50	$1,987.50	$6,407.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,341.81 / $3,780.00 / $4,947.00	Professional		$2,341.81	$3,780.00	$4,947.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,795.76 / $5,604.23 / $9,039.42	Facility		$4,795.76	$5,604.23	$9,039.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,684.42 / $4,108.05 / $8,679.83	Professional		$2,684.42	$4,108.05	$8,679.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $4,830.00	Facility		$1,987.50	$1,987.50	$4,830.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,332.00 / $7,700.00	Facility		$1,987.50	$2,332.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,755.51 / $7,755.51 / $7,755.51	Professional		$7,755.51	$7,755.51	$7,755.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,331.37	Professional		$50.00	$70.00	$2,331.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $1,987.50 / $4,830.00	Facility		$1,987.50	$1,987.50	$4,830.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,913.70 / $5,913.70 / $5,913.70	Facility		$5,913.70	$5,913.70	$5,913.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $7,755.51 / $7,755.51	Professional		$805.00	$7,755.51	$7,755.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00